Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $100.00 / $269.15	Professional		$83.18	$100.00	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $239.88	Professional		$158.49	$199.53	$239.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $123.03 / $302.00	Professional		$79.43	$123.03	$302.00
Hally Health Facility/Professional Professional Modifier 26 Low / Median / High Price $48.98 / $69.18 / $158.49	Professional	26	$48.98	$69.18	$158.49
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $588.84	Professional		$112.20	$194.98	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $229.09	Professional		$181.97	$218.78	$229.09
Midlands Facility/Professional Professional Modifier 26 Low / Median / High Price $104.71 / $123.03 / $131.83	Professional	26	$104.71	$123.03	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $239.88	Professional		$165.96	$194.98	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $89.13 / $186.21	Professional		$41.69	$89.13	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $162.18 / $281.84	Professional		$100.00	$162.18	$281.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $208.93	Professional		$177.83	$177.83	$208.93